TechDetail

Last Updated:  5/6/2024 7:06:46 PM

Technician Detail               
Name  TIFFANY   RILEY 
Type  Technician 
Number 28027 
City  KELLYVILLE, OK  74039 
Status CANCELED
Issue Date  10/14/2021 
Renewed Date 10/14/2021
Expire Date  01/31/2022 
End Date  10/14/2021 

Immunization?

No 
 

Disciplinary Action
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Case Date   Case Number  
No Disciplinary Action